Permit PERMIT
CITY OF TI GAR R I G I NA , SEWER C #N S WR 999 -00190
,iy DEVELOPMENT SERVICES DATE ISSUED: 09/21/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS; 08901 SW PIPPEN LN PARCEL: 2S111DA -11800
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7
BLOCK: LOT: 111 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Single family detached residence.
Owner:
FEES
LEGEND HOMES Type By Date Amount Receipt
6900 SW HAINES
TIGARD, OR 97223 • PRMT GEO 09/21/199. $2,300.00 99- 318514
INSP GEO 09/21/199E $35.00 99- 318514
Phone: 620 -8080 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
•
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued by: ,„,ar `f� Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next b • s' y
2/16/00 Activities for Case #: SWR1999 -00190
3:06:17 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA003 Application received 9/8/99 DEB DONE No Hold DEB 9/10/99
SWRA008 Permit Created 9/10/99 DEB DONE No Hold DEB 9/10/99
SWRA705 Sewer Inspection 9/30/99 MS _ PASS No Hold AKJ 9/30/99
SWRA080 (F) Issue permit 9/21/99 GEO DONE No Hold GEO 9/21/99
SWRA720 Case Finaled 9/30/99 AKJ DONE No Hold AKJ 9/30/99
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